NPI Code Detail JSON Logo

1538720396 NPI number — ADAPTIVE INTERVENTIONS GROUP, LLC

NPI Number: 1538720396
Health Care Provider/Practitioner: ADAPTIVE INTERVENTIONS GROUP, LLC

Information about “1538720396” NPI (ADAPTIVE INTERVENTIONS GROUP, LLC) exists in 1538720396 in HTML format HTML  |  1538720396 in plain Text format TXT  |  1538720396 in PDF (Portable Document Format) PDF  |  1538720396 in an XML format XML  formats.

NPI Number : 1538720396 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538720396",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ADAPTIVE INTERVENTIONS GROUP, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1660 STANLEY LUCIA RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOUNT HOLLY",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28120-9735",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "980-448-4614",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "107 ROBINSON DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHERRYVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28021-8100",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-789-3029",
    "PracticeLocationAddressFaxNumber": "800-292-0277",
    "EnumerationDate": "06/24/2019",
    "LastUpdateDate": "10/06/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CUNNINGHAM",
    "AuthorizedOfficialFirstName": "KEVI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF OPERATIONS",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "980-448-4614",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "324500000X",
          "TaxonomyName": "Substance Abuse Rehabilitation Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "320800000X",
          "TaxonomyName": "Mental Illness Community Based Residential Treatment Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "322D00000X",
          "TaxonomyName": "Emotionally Disturbed Childrens' Residential Treatment Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.